facebook tracking Generations Center of Spencer, Spencer TN: CMS Ratings
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Generations Center of Spencer

All states › Tennessee › Spencer › Generations Center of Spencer

87 Generations Drive Spencer, TN 38585 · Van Buren County

(931) 946-7768

Accepts Medicare Accepts Medicaid 70 certified beds Non profit

CMS certification number 445388 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Generations Center of Spencer a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Generations Center of Spencer as of October 2026.

CMS rates it 3 out of 5 stars overall, about the same as the Tennessee average of 3.1. Inspectors issued 9 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.13 hours per resident per day at Generations Center of Spencer, below the Tennessee median of 3.66 (US median: 3.72). About 0.56 of those hours are from registered nurses. On weekends it falls to 2.34 hours, 25% below its all-week average. Ask how weekends are staffed. 35.5% of nursing staff left within a year (Tennessee median 48.7%). That is lower than most homes in Tennessee, a sign of a steadier team.

Nursing care per resident per day 3.13 hours
Below the Tennessee median of 3.66 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.56 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.34 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 35.5% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 0% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds70
Residents per day 67 About 96% of beds filled, on average
OwnershipNon profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1997
Legal business nameGENERATIONS HEALTH ASSOCIATION, INC

Paying for care at Generations Center of Spencer: Medicare and Medicaid

Generations Center of Spencer is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Tennessee's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on May 15, 2026 and found 1 deficiency, plus 3 from complaint inspections in the same period. In total, inspectors issued 9 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 9 citations at Generations Center of Spencer across 2 inspection dates, 3 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 9 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were freedom from abuse, neglect, and exploitation (3) and resident assessment and care planning (3). The most serious was cited under the CMS rule to "timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities" (tag F0609, level F, May 15, 2026). 3 citations were under CMS's abuse, neglect and exploitation rules.

May 15, 2026 · 4 citations · includes complaint inspection

FTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 3, 2026)

DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Apr 5, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 22, 2026)

DEnsure medication error rates are not 5 percent or greater.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0759 · Deficient, Provider has date of correction (May 25, 2026)

October 23, 2024 · 5 citations

FDispose of garbage and refuse properly.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0814 · Deficient, Provider has date of correction (Nov 8, 2024)

EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Nov 8, 2024)

DDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Nov 8, 2024)

DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Nov 8, 2024)

DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0842 · Deficient, Provider has date of correction (Nov 8, 2024)

Questions to ask on a tour of Generations Center of Spencer

  1. CMS cited the home under its abuse and neglect rules on May 15, 2026. How are staff trained, and how are concerns reported?
  2. Weekend staffing is 25% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 3/5 3/5 3/5 4/5
August 2026 3/5 3/5 2/5 2/5
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Location

Hospitals near Generations Center of Spencer

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

  • 13.7 mi
    Saint Thomas Highlands Hospital Sparta
    Emergency room
    Median ER visit 2h 47m for patients treated and sent home
  • 16.0 mi
    River Park Hospital McMinnville
    Emergency room ★★★☆☆ Medicare overall 3 of 5
    Median ER visit 2h 57m for patients treated and sent home
  • 17.8 mi
    Erlanger Bledsoe Hospital Pikeville
    Emergency room
    Median ER visit 1h 36m for patients treated and sent home

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

NHC Healthcare, Sparta Sparta · 12.0 mi away ★★★★☆ Inspection 3/5 · Staffing 4/5 96 beds · Medicaid
Life Care Center of Sparta Sparta · 13.9 mi away ★★★★★ Inspection 4/5 · Staffing 2/5 100 beds · Medicaid
Willow Branch Health and Rehabilitation McMinnville · 16.7 mi away ★★☆☆☆ Inspection 3/5 · Staffing 1/5 140 beds · Medicaid
Bledsoe County Nursing Home Pikeville · 17.8 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 50 beds · Medicaid
NHC Healthcare, McMinnville McMinnville · 18.1 mi away ★★★★★ Inspection 4/5 · Staffing 3/5 115 beds · Medicaid

More nursing homes near Generations Center of Spencer ›   All nursing homes in Spencer ›

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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/tennessee/spencer/generations-center-of-spencer/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.